Organization
DIVINE FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIE MARIE DIVINE (PROVIDER)
(573) 712-2333
Entity
Organization
Contact information
Practice address
1475 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3315
(573) 712-2333
(573) 712-2433
Mailing address
1475 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3315
(573) 712-2333
(573) 712-2433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2010020558
MO
Other
Enumeration date
04/03/2012
Last updated
02/06/2026
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